Abstract

AN AYURVEDIC STANCE ON DIABETIC PERIPHERAL NEUROPATHY (DPN)

D. Shyam Sundar*, Sudarsan Behera, Snehamayee Mishra and Sonalika Jena

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Abstract

Diabetic Peripheral Neuropathy (DPN) is one among the microvascular complications of the chronic Diabetes mellitus. This state of illness is due to the prolong hyperglycemic condition resultant to the alteration in the micro-vasculature supplying to the peripheral nerves of a diabetic individual. Approximately 50% of the total diabetic population are suffering from this kind of neuropathy. The incidence of Peripheral neuropathy is strongly correlated with microvascular changes and comorbidities. In Ayurveda, there is no direct reference for diagnosing Diabetic Peripheral Neuropathy, so it is essential to understand the causative factors and associated sign symptoms based on Tridoshas in Pradhana vyadhi as well as in Upadrava. Madhumeha is sub a type of vataja Prameha and also described as one of the Astamahagada in Ayurvedic classics. Prameha lead to become Madhumeha if not diagnosed or managed properly in time as in their earlier stages. The aggravation & vitiation of the vata doshas responsible as the prime causative factor in both the types of madhumeha viz. Dhatukshaya janya and avarana janya. The clinical features like kara padayo suptata daha (numbness and burning sensation in the hands & feet), dourbalya (weakness) can be directly co-related with DPN; since it manifests as a supper added condition upadrava to the already existing Pradhana vyadhi. Hence in this study the basic ayurvedic and contemporary texts relevant to DPN are looked up regarding its management. The primary goal is alleviation of the vata dosha to soothe the nerves, promotion of the rasayana effect inside the body, diminution of the margavarodha and further dhatukshaya & vata prokopa, correction of the agni and also enrichment of the oja. The dietary & behavioral regimens advised in the ayurvedic classical texts are highly impacting in the management of DPN.

Keywords: DPN, DM, Prameha, Madhumeha, Upadrava, Vata.